| NPI | 1235680109 |
|---|---|
| Doing Business As | ADVANCED FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MUSTAPHA HOTAIT President 773-767-1554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028105) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |